Psychiatric Dimensions of Medical Practice
What Primary-Care Physicians Should Know about Delirium, Demoralization, Suicidal Thinking, and Competence to Refuse Medical Advice
In this book, Johns Hopkins psychiatrist Phillip R. Slavney, M.D., offers a concise guide that will help primary-care physicians evaluate and treat patients who are delirious, demoralized, thinking of suicide, or refusing to follow medical advice.
Although these patients exhibit emotional distress, cognitive disturbance, or maladaptive behavior, the cause of the problem is often their medical illness and treatment. For that reason, many such patients can receive excellent care from their own physicians—physicians who, given the resistance of managed care companies to specialist referrals, must now bear that responsibility in any event. After an introductory chapter on clinical assessment, Slavney discusses each of these common problems as it occurs in the clinical setting, with illustrative cases and specific advice about evaluation and treatment.
"Dr. Slavney has written lucidly and carefully about these very important issues, clarifying his exposition through a series of case examples. This book should be enormously useful not only to students and house staff but also to practicing physicians and faculty, especially those making the rounds on clinical services. One wishes, in fact, that it were possible to have Dr. Slavney along on rounds; this volume is a useful move in that direction."—Jeremiah A. Barondess, M.D., from the foreword
About the Author
Phillip R. Slavney, M.D., is Eugene Meyer III Professor of Psychiatry and Medicine at the Johns Hopkins University School of Medicine. He is the author of Perspectives on "Hysteria" and co-author, with Paul R. McHugh, M.D., of The Perspectives of Psychiatry, also available from Johns Hopkins.
The book is wonderfully down to earth and humane. This will prove to be a useful teaching and reference text for both residents and experienced practitioners.
I know many physicians who would like their own liaison psychiatrist in their pocket (in more ways than one). Those who work at Johns Hopkins now have just that. This book comprises the portable advice of the Johns Hopkins Professor of Psychiatry and Medicine to help physicians with some of the commonest psychiatric issues they encounter.
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